1) Anyone over 65
2) Smokers, COPD, or asthma can be younger
3) RE-Vaccination in everyone over 65 if last vaccination was more than 5 years ago AND before 65.
4) RE-Vaccination in immunosuppressed people if first vaccine more than 5 years ago

What is the best end point for any trial?

Mortality

Zoster vaccine recommendations

All patients over 60 regardless of prior varicella/zoster hx

HPV vaccine recommendations

All women 9-26

Colon Ca screening recommendations

Starting at age 50
1) Colonoscopy every 10 years
2) Flex sig every 5 years with home FOBT every 3 years
3) Annual home FOBT

Dx Syncope in ischemic HF

VTach

How to diagnose orthostatic hypotension

Drop in systolic BP of 20 or 10 diastolic after 3 minutes of standing

Dx Syncope, nausea, lightheadedness, diaphoresis

Vasovagal syncope (situational)

Dx LOC irrespective of body position without preceding symptoms

Cardiac arrhythmia

Dx study for infrequent syncope

Implantable loop recorder

Tx for Depression after failing 1 antidepressant

A different antidepressant

Tx for Depressive sx of 2 weeks more than 8 weeks after death of loved one

Pharmacologic antidepressants

Tx for Acute cocaine intoxication

Benzodiazepine

Tx for short term alcohol dependence

Naltrexone

Tx for Acute opioid intoxication

Naloxone (narcan)

Tx for Spinal stenosis with neurologic deficits and pain refractory to NSAIDs and PT

1) Tdap every 10 years
2) Pneumovax (revaccinate in 5 years)
3) Flu annually
4) Hep A and B
5) Meningococcus if asplenic or in college/military
6) HPV (only in high risk individuals)
7) H Flu (only if not given in infancy)
8) MMR and varicella if CD4 over 200